washingtonscene
FY 2017 Defense Authorization Act Health Care Issues Issue
TRICARE For Life (TFL)
No changes (rejects DoD- proposed enrollment fee of up to 2 percent of retired pay)
TRICARE Prime
24-percent enrollment fee increase to $350/$700 (individual/family) effective Jan. 1, 2018
Same as Senate No changes made to TFL Senate (S. 2943) House (H.R. 4909) Final Defense Act
Grandfather currently serv- ing and retired beneficiaries against DoD-proposed increases; apply similar hike to new service entrants after Jan. 1, 2018
$150/$300 (individual/ family) enrollment fee as of Jan. 1, 2018; increasing to $450/$900 for 2023
TRICARE Standard
Index annually after 2023 by CPI health cost index
Eliminate deductible for in- network care
Double deductible to $300/ $600 for out-of-network care
Catastrophic Cap on Out-of-Pocket Expenses
Raise as of Jan. 1, 2018, to $1,500 for currently serv- ing families and to $4,000 for retired families
Adjust annually after 2018 by COLA percentage
TRICARE Access and Quality Issues
Eliminate preauthorization for urgent and specialty care
Other initiatives to improve beneficiary access, care qual- ity, and system productivity
Military Health Care Consolidation
Consolidate responsibility for military health care delivery, budgeting, and facilities under Defense Health Agency
Pharmacy Copayments
Require annual increases that roughly would double copayments in nine years
Impose $11 copayment (ver- sus current zero) for mail- order generics as of 2020
$100/$200 enrollment fee as of Jan. 1, 2020
Index annually by COLA percentage
No change in deductible Apply Senate-like increases to new service entrants after Jan. 1, 2018
Retain current caps at $1,000/currently serving and $3,000/retired families
Apply increases only to new service entrants after Jan. 1, 2018
Eliminate preauthorization for urgent care
Other initiatives to improve beneficiary access, care qual- ity, and system productivity
Similar consolidation requirement
Eliminate preauthorization for urgent care
Implement standard appointment system at all military treatment facilities
Senate provision adopted
House provision adopted
Require annual enrollment starting 2018
Begin $150/$300 enroll- ment fee for retirees in 2020
Index annually by COLA percentage
Apply Senate-like increases to new service entrants after Jan. 1, 2018
Retain $1,000 cap for cur- rently serving; raise retiree cap to $3,500 in 2020
No change to current law No change to current law
34 MILITARY OFFICER FEBRUARY 2017
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